Article (Scientific journals)
Upper gastrointestinal tract bleeding management: Belgian guidelines for adults and children.
Colle, I.; Wilmer, A.; Le Moine, O. et al.
2011In Acta Gastro-Enterologica Belgica, 74, p. 45-66
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Keywords :
upper gastrointestinal bleeding; varices; ulcers; treatment; guidelines; endoscopy
Abstract :
[en] Upper gastrointestinal bleeding (UGIB) remains a common disease affecting 100 to 170 per 100 000 adults per year and causing thereby a significant burden to healthcare resources. Despite the improvements in the management of this disorder, the associated mortality ranges from 5 to 14 %. Since the general management of UGIB is not uniform, the main objective of this work is to provide guidelines for the care of adults and children presenting with bleeding caused by gastro-duodenal ulcer or variceal rupture. Methods: In the absence of evidence-based recommendations, these guidelines were proposed after expert opinions reconciliation and graded accordingly. They are based on the published literature up to September 2010 and graded according to the class of evidence. Results: The current guidelines for the management of UGIB include recommendations for the diagnostic process, general supportive care, pharmacological therapy aiming at bleeding control, specific and endoscopic treatment of acute bleeding and follow-up for both gastro-duodenal ulcers and portal hypertension induced bleeding.
Disciplines :
Gastroenterology & hepatology
Author, co-author :
Colle, I.
Wilmer, A.
Le Moine, O.
Debruyne, R.
DELWAIDE, Jean ;  Centre Hospitalier Universitaire de Liège - CHU > Gastro-Entérologie-Hépatologie
Dhondt, E.
Macken, E.
Penazola, A.
Piessevaux, H.
Stéphenne, X.
Van Biervliet, S.
Laterre, P. F.
Language :
English
Title :
Upper gastrointestinal tract bleeding management: Belgian guidelines for adults and children.
Publication date :
March 2011
Journal title :
Acta Gastro-Enterologica Belgica
ISSN :
0001-5644
eISSN :
1784-3227
Publisher :
Acta Medica Belgica, Bruxelles, Belgium
Volume :
74
Pages :
45-66
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 24 February 2011

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